Re: Coping with colds, flu, other infections -- Steroid Warning Network

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Date Posted: 18:40:21 01/10/07 Wed
Author: No name
Subject: Re: Coping with colds, flu, other infections
In reply to: Susan 's message, "Re: Coping with colds, flu, other infections" on 14:47:36 01/10/07 Wed

When your essential life functions are not being maintained because of a lack of adrenal hormones, you will not feel well. Your symptoms could include the following:
� unusual tiredness and weakness
� dizziness when standing up
� nausea, vomiting, diarrhea
� loss of appetite
� stomach ache.
Other symptoms you may experience over
time include these:
� weight loss
� darkened skin
� craving for salt.

Patients with CAH should carry medical identification and information concerning therapy for stress. Caregivers should have an emergency supply of IM [intramuscular] HC or glucocorticoid suppositories.�
Rectal hydrocortisone suppositories are also effective compared with IM injection, and much less scary for parent or caregiver to administer in crisis (but shouldn't be given if child has diarrhea)!!

Patients should be given stress doses of hydrocortisone during illness with fever over 101F, when vomiting or when unable to take food by mouth, after serious injury and before any surgery. While engaging in endurance sports may require extra medication, mental and emotional stress does not. The stress dose is 2-3 times the regular glucocorticoids dose.

MORE RESOURCES
Adrenal Insufficiency Booklet from NIH:
The National Institutes of Health have published a terrific booklet on all aspects of adrenal insufficiency. CARES strongly recommends that all parents and affected adults print out this .pdf file and review it carefully. It contains step-by-step instructions (with pictures) on how to deal with an adrenal crisis and give Solu-Cortef injections. It is an important document to keep on hand along with the adrenal crisis

<a rel=nofollow target=_blank href="http://www.caresfoundation.org/adrenalcrisis.html">http://www.caresfoundation.org/adrenalcrisis.html</a>

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Re: Coping with colds, flu, other infections -- Susan, 07:44:44 01/11/07 Thu